Active NPI
Eye Surgery Center of Middle Tennessee, LLC
- Ambulatory Surgical Clinic/Center
- Nashville, TN
National Provider Identifier
1659679074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 0000000005
- Legal business name
- EYE SURGERY CENTER OF MIDDLE TENNESSEE, LLC
- Practice address
- 210 25TH Ave N Ste 920
Nashville, TN 37203-9609 - Phone
- (615) 964-5912
- Fax
- (615) 964-5913
- NPI assigned
- Mar 9, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Rodney H Lunn Sr.
- Title
- Owner
- Phone
- (615) 620-9300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 0000000005 | TN | Primary |
Addresses
Primary practice location
210 25TH Ave N Ste 920
Nashville, TN 37203-9609
Mailing address
210 25TH Ave N
920
Nashville, TN 37203-1606
Phone (615) 620-9300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111219000689 | TN | Part B Supplier - Ambulatory Surgical Center | 0345415493 | Practice locations: Nashville, TN |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Eye Surgery Center of Middle Tennessee
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
210 25th Ave N
Ste 920
Nashville, TN 37203
Phone (615) 620-9300
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Bowling Green, KY
- NPI 1568494136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677628800000",
"number": "1659679074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 25TH AVE N",
"address_2": "920",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031606",
"telephone_number": "615-620-9300",
"fax_number": "615-620-9301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 25TH AVE N STE 920",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372039609",
"telephone_number": "615-964-5912",
"fax_number": "615-964-5913"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE SURGERY CENTER OF MIDDLE TENNESSEE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-09",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A",
"authorized_official_last_name": "LUNN",
"authorized_official_first_name": "RODNEY",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "615-620-9300",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "TN",
"license": "0000000005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.